Check The Fine Print: Some Work-Based Health Plans Exclude Outpatient Surgeries
This new generation of so-called “skinny plans” can save employers money, but it’s not yet clear if they will meet regulatory scrutiny.
Insurance
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New Federal Standards For Marketplace Plans May Reduce Out-Of-Pocket Spending
Officials have proposed establishing six options for the exchange plans that would set standard deductibles and maximum out-of-pocket spending limits, among other things.
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Democratic Candidates Debate ‘Single-Payer,’ But What Does That Mean?
The phrase often used for government-run health care means different things to different people. Here are five points to help explain the Democrats’ policy clash.
By Julie Rovner -
States Simplify Medicaid Sign-Ups
Forty-nine states now take Medicaid applications by phone and 49 also accept online applications, reports the Kaiser Family Foundation.
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A Lifesaving Flight, With A Price Tag Of $56,000
Big, sparsely populated states such as Montana are dependent on air ambulances to get people to specialized medical care. But those lifesaving flights can be hugely expensive and not covered by insurance.
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Even With ‘Skin In The Game,’ Health Care Shoppers Are Not More Savvy
High-deductible health plans don’t necessarily trigger comparison shopping or informed health care choices by consumers, according to a survey published in Tuesday’s JAMA Internal Medicine.
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Determining Whether A Marketplace Plan Covers Abortion Is Still Difficult
Many insurers leave out information about abortion coverage on the summary of benefits and coverage.
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Hispanic Children’s Uninsured Rate Hits Record Low, Study Finds
About 300,000 Hispanic children gained insurance in 2014 from 2013, dropping the number of uninsured to 1.7 million, researchers said, and two-thirds of 1.7 million uninsured Hispanic kids live in five states.
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Study: Some Marketplace Customers Spend 25 Percent Of Income On Health Expenses
Urban Institute researchers found that premiums and out-of-pocket costs are still a major concern for people seeking coverage on the health care marketplaces.
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Slipping Between Medicaid And Marketplace Coverage Can Leave Consumers Confused
KHN’s consumer columnist answers questions about how people can handle moving between the government health plan for low-income residents and the private plans offered on the federal health law’s exchanges.
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Health Plan Watchdog Still Seeks Progress After 25 Years
Increased comparative information on health plans is helping consumers shop, says Margaret O’Kane, president of the National Committee for Quality Assurance.
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2016 Health Law Exchange Enrollment Tops 11.3M
The government’s most detailed release of figures shows insurance plan sign-ups beat the Obama administration’s goal for the year.
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More Employers Offer Plans That Provide Lump Sums For Critical Illnesses
The plans can help workers cover their high deductibles, but the policies also have limitations.
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Do You Speak Health Insurance? It’s Not Easy.
Even savvy consumers stumble over terms like “coinsurance.”
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Obamacare Insurers Sweeten Plans With Free Doctor Visits
Some insurers are betting that lowering the barrier to seeing a doctor will encourage people to get needed care sooner. If it works, the health plans could save more than they spend on the benefit.
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Worlds Apart: Vast Disparities In Treatment Separate Americans With HIV
Poverty and mental illness are among problems keeping about two-thirds of those infected — mainly minorities — from receiving treatment.
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ER Doctors Say Federal Rules Could Raise Patients’ Out-Of-Network Bills
Two physician groups say the government’s regulations for out-of-network emergency care payments will cost consumers more because insurers will pay less.
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Health Plans’ Coverage Of Some Drugs Can Be A Source Of Consumer Confusion
Some medicines, particularly intravenous treatments, are not listed in plans’ pharmacy benefit section and, therefore, it’s difficult to confirm coverage specifics.
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Single-Payer Health Care On Colorado Ballot In 2016
The group ColoradoCareYES gathered enough signatures — more than 100,000 — to put a single-payer health system on the ballot next fall. But the price tag is a worry to some.
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Kaiser Permanente To Open Medical School In Southern California
Kaiser Permanente CEO Bernard Tyson says the new school is part of the HMO's effort to transform the "health care ecosystem" in the 21st century.